摘要
目的以主动脉夹层动脉瘤患者为例,分析评估优质护理在该类患者外科手术后的应用效果。方法此次纳入研究的外科手术主动脉夹层动脉瘤患者,一共84例,治疗地点为我院,治疗时间为2018年1月至2019年1月,然后以随机数字分组法分成两组,观察组42例术后采取优质护理方法,对照组42例术后采取常规护理方法,进一步对两组患者的36条简明健康状况调查表(Medical Outcomes Study Short-Form 36,SF-36)评分、术后并发症总发生率、护理总满意度进行对比评价。结果(1)护理后,观察组躯体功能评分、生理功能评分、心理功能评分、精神状态评分、社会功能评分分别为(18.12±0.41)分、(18.34±0.23)分、(18.97±0.12)分、(18.77±0.24)分、(17.93±0.16)分,均明显高于对照组的(13.54±0.52)分、(13.63±0.34)分、(13.85±0.28)分、(13.61±0.44)分、(13.21±0.45)分,两组之间的数据存在明显差异性(P<0.05)。(2)护理后,观察组术后出现切口感染一共为1例、脊髓缺血性损伤1例,总发生率为4.76%;对照组术后发生切口感染4例、脑组织缺血性损伤1例、脊髓缺血性损伤3例,总发生率为19.05%。在术后并发症总发生率方面,观察组和对照组对比显著更低,两组数据对比存在显著差异(P<0.05)。(3)护理后,观察组满意、基本满意、不满意例数分别为30、10、2例,总满意度为95.24%(40/42);对照组分别为12、18、12例,总满意度为71.43%(30/42)。根据数据可得:在术后护理总满意度方面,观察组显著比对照组高,两组数据对比有显著差异(P<0.05)。结论优质护理应用于主动脉夹层动脉瘤手术后患者,能够有效降低患者术后并发症发生率,并促进其术后生活质量的改善,从而进一步提升患者对护理服务的满意度。因此,在临床中存在应用及推广的意义。
Objective To analyze and evaluate the effect of high-quality nursing on patients with aortic dissecting aneurysm after surgery.Methods A total of 84 patients with dissecting aneurysm of the aorta were included in the study.The treatment place was our hospital.The treatment time was from January 2018 to January 2019.Then they were divided into two groups by random digital grouping.42 patients in the observation group were treated with high-quality nursing after operation,and 42 patients in the control group were treated with routine nursing after operation.The Medical Outcomes Study Short-Form 36(SF-36),the total incidence of postoperative complications and the total nursing satisfaction of the two groups were further compared and evaluated.Results(1)After nursing,in terms of the scores of quality of life indicators in the five dimensions of physical function,physiological function,psychological function,mental state,and social function,the observation group was(18.12±0.41)points,(18.34±0.23)points,(18.97±0.12)points,(18.77±0.24)points,(17.93±0.16)points,which were significantly higher than those of the control group(13.54±0.52)points,(13.63±0.34)points,(13.85±0.28)points,(13.61±0.44)points and(13.21±0.45)points,there were significant differences in the data between the two groups(P<0.05).(2)After nursing,in the observation group,there was 1 case of incision infection and 1 case of spinal cord ischemic injury,with a total incidence of 4.76%.In the control group,there were 4 cases of incision infection,1 case of brain tissue ischemic injury and 3 cases of spinal cord ischemic injury,with a total incidence of 19.05%.In terms of the total incidence of postoperative complications,the comparison between the observation group and the control group was significantly lower,and there was a significant difference between the two groups(P<0.05).(3)After nursing,in the observation group,there were 30 cases of satisfaction,10 cases of basic satisfaction and 2 cases of dissatisfaction,with a total satisfaction rate of 95.24%(40/42).In the control group,there were 12 cases of satisfaction,18 cases of basic satisfaction and 12 cases of dissatisfaction,with a total satisfaction rate of 71.43%(30/42).According to the data,the total satisfaction of postoperative nursing in the observation group was significantly higher than that in the control group,and there was a significant difference between the two groups(P<0.05).Conclusion For patients undergoing aortic dissection aneurysm surgery,high-quality nursing after surgery can promote the improvement of patients’postoperative quality of life,effectively reduce the incidence of postoperative complications,and further improve patients’satisfaction with nursing services.Therefore,it has significance in clinical application and promotion.
作者
刘芮沂
刁秀梅
LIU Ruiyi;DIAO Xiumei(Department of Cardiovascular Surgery,Dalian Central Hospital,Dalian 116033,China)
出处
《中国医药指南》
2022年第15期176-178,182,共4页
Guide of China Medicine
关键词
主动脉夹层动脉瘤
优质护理
外科手术
护理效果
生活质量指标评分
Aortic dissection aneurysm
High-quality nursing
Surgical operation
Nursing effect
Quality of life index score
